Without knowing anything about your insurance, that is a difficult question to answer. For many insurance companies, CPAPs are replaced every 5 years. But, perhaps the better question is "do you need a new one?"

If the answer to that is "yes", then the next obvious question is "why?" Is your current machine broken? Are there newer features that you need that are not available for your machine? Do you just feel like it's time for a new one?

Generally, I suspect your best chance of getting a new machine through insurance is to show medical need. In other words, if your doctor writes a new script for a new machine, your chances of having it approved through insurance are much better. If there is a particular reason that your current machine is no longer acceptable, that, I think, further increases your chances.

(03-10-2012 03:12 PM)Ltmedic66 Wrote: Without knowing anything about your insurance, that is a difficult question to answer. For many insurance companies, CPAPs are replaced every 5 years. But, perhaps the better question is "do you need a new one?"

If the answer to that is "yes", then the next obvious question is "why?" Is your current machine broken? Are there newer features that you need that are not available for your machine? Do you just feel like it's time for a new one?

Generally, I suspect your best chance of getting a new machine through insurance is to show medical need. In other words, if your doctor writes a new script for a new machine, your chances of having it approved through insurance are much better. If there is a particular reason that your current machine is no longer acceptable, that, I think, further increases your chances.

My machine is very noisy, My insurance denied my request for a new machine one year ago. I will try again. Thanks

(03-10-2012 03:12 PM)Ltmedic66 Wrote: Without knowing anything about your insurance, that is a difficult question to answer. For many insurance companies, CPAPs are replaced every 5 years. But, perhaps the better question is "do you need a new one?"

If the answer to that is "yes", then the next obvious question is "why?" Is your current machine broken? Are there newer features that you need that are not available for your machine? Do you just feel like it's time for a new one?

Generally, I suspect your best chance of getting a new machine through insurance is to show medical need. In other words, if your doctor writes a new script for a new machine, your chances of having it approved through insurance are much better. If there is a particular reason that your current machine is no longer acceptable, that, I think, further increases your chances.

My machine is very noisy, My insurance denied my request for a new machine one year ago. I will try again. Thanks

A machine that is 6 years old is way behind the technological curve.

Have your Doctor write you a prescription for a new machine noting that a machine 6 years old is just too far behind in the technologies to satisfy your medical needs.

Mine was 8 years old & still working, but the "technology" bit worked for me.

By the way, my Sleep Doctor thought my machine was only 5 years old & she was going to use that same reason & says it works all of the time.

I am in a BCBS PPO insurance plan.

Unless the "noise" of the machine means it is not operating properly, I would not even mention that. Wanting a quieter machine won't pass muster IMHO.

(03-10-2012 03:12 PM)Ltmedic66 Wrote: Without knowing anything about your insurance, that is a difficult question to answer. For many insurance companies, CPAPs are replaced every 5 years. But, perhaps the better question is "do you need a new one?"

If the answer to that is "yes", then the next obvious question is "why?" Is your current machine broken? Are there newer features that you need that are not available for your machine? Do you just feel like it's time for a new one?

Generally, I suspect your best chance of getting a new machine through insurance is to show medical need. In other words, if your doctor writes a new script for a new machine, your chances of having it approved through insurance are much better. If there is a particular reason that your current machine is no longer acceptable, that, I think, further increases your chances.

My machine is very noisy, My insurance denied my request for a new machine one year ago. I will try again. Thanks

A machine that is 6 years old is way behind the technological curve.

Have your Doctor write you a prescription for a new machine noting that a machine 6 years old is just too far behind in the technologies to satisfy your medical needs.

Mine was 8 years old & still working, but the "technology" bit worked for me.

By the way, my Sleep Doctor thought my machine was only 5 years old & she was going to use that same reason & says it works all of the time.

I am in a BCBS PPO insurance plan.

Unless the "noise" of the machine means it is not operating properly, I would not even mention that. Wanting a quieter machine won't pass muster IMHO.

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